Julia Lynn Bauer P.T.A

NPI 1306011721 - Community Health Worker - 172V00000X

NPI Details
NPI 1306011721
Gender Female
Enumeration Date 04/26/2008
Last Updated 04/26/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
5434 W CAPITOL DR
MILWAUKEE WI, 53216-2298, US
Phone (414) 444-4822
Fax
Business Location
W234N7096 FLINTLOCK DR E
SUSSEX WI, 53089-3200, US
Phone (262) 246-9127
Fax
Toxanomy
Taxonomy Code 172V00000X
License State Wisconsin
License Number 1063019
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According to our database, Mrs. Julia Lynn Bauer P.T.A NPI is 1306011721, taxonomy code is 172V00000X and license number is 1063019, license state is located at Wisconsin. Julia Lynn Bauer P.T.A physically located at 5434 W Capitol Dr, Milwaukee WI, 53216-2298. NPI Number Julia Lynn Bauer P.T.A has the Individual type.

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1306011721 NPI number is provided on an as is basis without warranty of any kind. 1306011721 is maintained by the National Plan & Provider Enumeration System. The contents of Julia Lynn Bauer P.T.A are for informational purposes only.